We are currently recruiting for a leading Medical Claims Insurance company in UAE-Dubai.  Location: Dubai .  Job Description:  - Claim processing/audit all claims/scrutiny of files  - Authorization of Cashless/reimbursement request.  - Designing adequate covers and providing appropriate consultations   - Processing claim forms, adjudicate for provision of deductibles, co-pays, co-insurance maximums and provider settlements.  - Entering claims data into the system.  - Attending to queries from Members / PICs / Providers and resolving problems that results from claim settlement.  - Performing audit of randomly selected claims to ensure quality processing and detect any frauds.  - Researching claim over-payments and request funds.  - Following adjudication policies and procedures to make sure proper payment of claims.  - Providing timely and quality customer service to members, providers, and other insurance companies .  - Coordination with hospitals & clients.  - Maintaining and preparing departmental of records.  Candidate Profile:  - Bachelors Degree / Diploma in business management or related degree with a Diploma in any of the Para-Medical Courses.  - BHMS,BAMS,MBBS willing to make career in insurance can also apply.  - Minimum one year of experience in claims management in Insurance industry or TPA Company.  - Candidates working in TPA industry will be preferred.  - Good communication and interpersonal skills.  - Ambitious with ability to work under pressure   - Motivated, enthusiastic and result focused   - Possess strong interpersonal and communication skills   - Basic knowledge of relational databases and excellent knowledge of MS Office.

Middle East

Others

Claims Investigator/Adjustor - Medical Claims Insurance 

Claims Investigator/Adjustor - Medical Claims Insurance  ,Job Description for Claims Investigator/Adjustor - Medical Claims Insurance  in Executive Search in  Middle East Others for (2-5) years of experience. Apply Now!

Job Description for Claims Investigator/Adjustor - Medical Claims Insurance  in Executive Search in  Middle East Others for (2-5) years of experience. Apply Now!